Short-term difference only in reported outcomes (PROMs) after anterior or posterior approach to total hip arthroplasty: a 4-year prospective multi-centre observational study.

Autor: Lin DY; Department of Anesthesiology, Flinders Medical Centre, Flinders Drive, Bedford Park, Adelaide, SA, 5042, Australia. d-yin.lin@sa.gov.au.; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia. d-yin.lin@sa.gov.au., Samson AJ; Department of Orthopaedic and Trauma Surgery, Flinders Medical Centre, Adelaide, SA, Australia., Cehic MG; Department of Orthopaedic and Trauma Surgery, Flinders Medical Centre, Adelaide, SA, Australia., Brown B; Department of Anesthesiology, Flinders Medical Centre, Flinders Drive, Bedford Park, Adelaide, SA, 5042, Australia., Kaambwa B; Health Economics, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia., Wilson C; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.; Department of Orthopaedic and Trauma Surgery, Flinders Medical Centre, Adelaide, SA, Australia., Kroon HM; Department of Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia.; Discipline of Surgery, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia., Jaarsma RL; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.; Department of Orthopaedic and Trauma Surgery, Flinders Medical Centre, Adelaide, SA, Australia.
Jazyk: angličtina
Zdroj: Journal of orthopaedic surgery and research [J Orthop Surg Res] 2023 Feb 17; Vol. 18 (1), pp. 119. Date of Electronic Publication: 2023 Feb 17.
DOI: 10.1186/s13018-023-03603-0
Abstrakt: Background: The direct anterior approach (DAA) in total hip arthroplasty (THA) may demonstrate better functional recovery compared to the posterior approach (PA).
Methods: In this prospective multi-centre study, patient-related outcome measures (PROMs) and length of stay (LOS) were compared between DAA and PA THA patients. The Oxford Hip Score (OHS), EQ-5D-5L, pain and satisfaction scores were collected at four perioperative stages.
Results: 337 DAA and 187 PA THAs were included. The OHS PROM was significantly better in the DAA group at 6 weeks post-operatively (OHS: 33 vs. 30, p = 0.02, EQ-5D-5L: 80 vs. 75, p = 0.03), but there were no differences at 6 months and at 1 year. EQ-5D-5L scores were similar between both groups at all time points. LOS as inpatient was significantly different, in favour of DAA [median 2 days (IQR 2-3) vs. PA 3 (IQR 2-4), p ≤ 0.0001].
Conclusions: Patients undergoing DAA THA have shorter LOS and report better short-term Oxford Hip Score PROMs at 6 weeks, but DAA did not convey long-term benefits over PA THA.
(© 2023. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje